Category: Health

These are the most common questions we have found among new patients facing anxiously their first time using a fitted mouthpiece, either it is to treat snoring, sleep apnea or many other different sleep disorders, they come around with this important questions, we give you the answers that we think might be helpful for you to find the most convenient oral device.

Which alternatives are available for treating my snoring or sleep apnea?

How does the device work to help improve snoring/sleep apnea?

An oral device is a small plastic appliance that inserts at the upper and lower teeth, comparable to an orthodontic retainer or mouth guard. The equipment is worn in the mouth during sleep to avoid the soft tissues of the throat from collapsing and obstructing the airway. Mouth appliances work by slightly advancing the jaw which in turn moves the base of the tongue forward opening the airway leading to improved breathing and reduced snoring and apneas during sleep.

What rate of people finds the appliance to be useful?

If the problem involves only snoring, the appliance is useful for roughly 85%-90% of patients. When treating sleep apnea, the device is 60-80% efficient, depending on the severity of the apnea. The appliance tends to be adequate for mild to moderate OSA although we have had success in treating several cases of severe apnea.

How to validate the effectiveness of the oral appliances?

Patients with moderate to severe sleep apnea must have a follow-up sleep study performed while using the oral device to ratify the efficiency of the device. During the follow-up sleep study, the jaw position on the appliance can be modified to improve treatment success. Following the sleep study, an evaluation with the sleep medicine physician will be required to discuss the results.

How long do these appliances last?

Under normal circumstances, the devices usually last around 2-5 years, but most of them will endure much longer than five years.

Would my insurance cover appliance treatment?

Since insurance plans differ widely, most doctors work along with the patient to obtain reimbursement from their insurance carrier. Most insurance providers have coverage for treatment of obstructive sleep apnea with an oral appliance. However, insurance companies do not cover a prescription for snoring only. In case coverage is available for oral appliances, it will come from the medical insurance carrier. The majority of dental insurance organizations do not cover treatment for obstructive sleep apnea. We encourage you to call and check with your health insurance company.

How many visits are required with the appliance?

After the initial consultation, there may be 2 – 3 appointments within the first six months. After that, you will be arranged on an annual or semi-annual recall.

How long does it take to adapt to the appliance? Will it hurt my teeth?

95% of patients will adjust to the device within 2-7 days. It will take a few days to adapt to having a device in your mouth during sleep. The device will not hurt your teeth. If your teeth are aching after initial use, your doctor can easily adjust it for your comfort.